| NPI | 1598063299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704212035) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704212035) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2021-04-16 |